Arthroscopic ACL Primary Repair: Indications, Techniques and Outcomes (AANA19)-ACL Repair With Suture Augmentation and Cortical Femoral Fixation-Dr. Wiemi A. Douoguih, M.D.

ACL Repair With Suture Augmentation and Cortical Femoral Fixation-Dr. Wiemi A. Douoguih, M.D.

Video Transcription

Video Summary

Dr. Wimmy Diwogi, a Washington D.C. sports medicine physician, shares his journey adopting ACL repair, initially skeptical due to traditional training emphasizing ACL reconstruction. His interest sparked from treating professional athletes like Washington Nationals catchers who underwent repair procedures with surprisingly good outcomes, challenging conventional views. Inspired by emerging techniques and data, including work by Dr. Stedman and others, Diwogi began performing ACL repairs with suture augmentation and cortical femoral fixation about five years ago. He highlights biomechanical advantages of repair plus internal bracing, preserving ACL anatomy, proprioception, and blood supply, which may aid faster, more natural recovery. His two-year data shows promising patient outcomes with 85% success, though some revisions occurred, often related to technique or traumatic events. Diwogi emphasizes careful patient selection based on tear type (Sherman classification) and tissue quality. Comparing outcomes and biomechanics to ACL reconstructions, he advocates ACL repair as a viable alternative, particularly for select athletes, noting ongoing prospective trials to assess long-term efficacy further.

Asset Caption

Instructional Course Lecture: Arthroscopic ACL Primary Repair: Indications, Techniques and Outcomes.

Keywords

ACL repair

sports medicine

Dr. Wimmy Diwogi

ACL reconstruction

suture augmentation

Sherman classification